Individual
JASON RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0287
(702) 750-3800
(702) 635-5458
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 750-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1465
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043648793
—
NV
01
—
PA1465
NV PA LICENSE
NV
Enumeration date
10/16/2013
Last updated
02/23/2017
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